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In the literature, this procedure is referred to as transoral outlet reduction (TORe),6870 or endoscopic gastrojejunostomy revision (EGJR), or revision of the gastrojejunal anastomosis (GJA).7174 A systematic review to evaluate the effects of this technique included 6 studies, of which only 1 was prospective while the others were retrospective reports.71 Technical and clinical success was reported in 98% and 89% of patients, respectively, with a re-intervention rate of 11.5%, taking into account that different devices were used for revision of the gastrojejunal anastomosis.71 A recent retrospective study with two years of follow-up after gastrojejunal anastomosis reduction reported that, among 58 patients with dumping syndrome, the symptoms and Sigstads score improved in 69% (n=40 out of 58) of patients and in 57% (n=20 out of 35) a complete resolution of Sigstads score.73 Notably, in that study follow-up at 2 years was only complete in 64% of patients

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A Note on Headache as a Side Effect vs